Change in Tongue Morphology in Response to Expiratory Resistance Loading Investigated by Magnetic Resonance Imaging
[Purpose] The purpose of this study was to investigate the effect of expiratory resistance load on the tongue area encompassing the suprahyoid and genioglossus muscles. [Subjects] The subjects were 30 healthy individuals (15 males, 15 females, mean age: 28.9 years). [Methods] Magnetic resonance imag...
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| Published in | Journal of Physical Therapy Science Vol. 25; no. 6; pp. 667 - 669 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
01.06.2013
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 2187-5626 |
| DOI | 10.1589/jpts.25.667 |
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| Abstract | [Purpose] The purpose of this study was to investigate the effect of expiratory resistance load on the tongue area encompassing the suprahyoid and genioglossus muscles. [Subjects] The subjects were 30 healthy individuals (15 males, 15 females, mean age: 28.9 years). [Methods] Magnetic resonance imaging was used to investigate morphological changes in response to resistive expiratory pressure loading in the area encompassing the suprahyoid and genioglossus muscles. Images were taken when water pressure was sustained at 0%, 10%, 30%, and 50% of maximum resistive expiratory pressure. We then measured tongue area using image analysis software, and the morphological changes were analyzed using repeated measures analysis of variance followed by post hoc comparisons. [Results] A significant change in the tongue area was detected in both sexes upon loading. Multiple comparison analysis revealed further significant differences in tongue area as well as changes in tongue area in response to the different expiratory pressures. [Conclusion] The findings demonstrate that higher expiratory pressure facilitates greater reduction in tongue area. |
|---|---|
| AbstractList | [Purpose] The purpose of this study was to investigate the effect of expiratory
resistance load on the tongue area encompassing the suprahyoid and genioglossus muscles.
[Subjects] The subjects were 30 healthy individuals (15 males, 15 females, mean age:
28.9 years). [Methods] Magnetic resonance imaging was used to investigate morphological
changes in response to resistive expiratory pressure loading in the area encompassing the
suprahyoid and genioglossus muscles. Images were taken when water pressure was sustained
at 0%, 10%, 30%, and 50% of maximum resistive expiratory pressure. We then measured tongue
area using image analysis software, and the morphological changes were analyzed using
repeated measures analysis of variance followed by post hoc comparisons. [Results] A
significant change in the tongue area was detected in both sexes upon loading. Multiple
comparison analysis revealed further significant differences in tongue area as well as
changes in tongue area in response to the different expiratory pressures. [Conclusion] The
findings demonstrate that higher expiratory pressure facilitates greater reduction in
tongue area. Purpose: The purpose of this study was to investigate the effect of expiratory resistance load on the tongue area encompassing the suprahyoid and genioglossus muscles. [Purpose] The purpose of this study was to investigate the effect of expiratory resistance load on the tongue area encompassing the suprahyoid and genioglossus muscles. [Subjects] The subjects were 30 healthy individuals (15 males, 15 females, mean age: 28.9 years). [Methods] Magnetic resonance imaging was used to investigate morphological changes in response to resistive expiratory pressure loading in the area encompassing the suprahyoid and genioglossus muscles. Images were taken when water pressure was sustained at 0%, 10%, 30%, and 50% of maximum resistive expiratory pressure. We then measured tongue area using image analysis software, and the morphological changes were analyzed using repeated measures analysis of variance followed by post hoc comparisons. [Results] A significant change in the tongue area was detected in both sexes upon loading. Multiple comparison analysis revealed further significant differences in tongue area as well as changes in tongue area in response to the different expiratory pressures. [Conclusion] The findings demonstrate that higher expiratory pressure facilitates greater reduction in tongue area. [Purpose] The purpose of this study was to investigate the effect of expiratory resistance load on the tongue area encompassing the suprahyoid and genioglossus muscles. [Subjects] The subjects were 30 healthy individuals (15 males, 15 females, mean age: 28.9 years). [Methods] Magnetic resonance imaging was used to investigate morphological changes in response to resistive expiratory pressure loading in the area encompassing the suprahyoid and genioglossus muscles. Images were taken when water pressure was sustained at 0%, 10%, 30%, and 50% of maximum resistive expiratory pressure. We then measured tongue area using image analysis software, and the morphological changes were analyzed using repeated measures analysis of variance followed by post hoc comparisons. [Results] A significant change in the tongue area was detected in both sexes upon loading. Multiple comparison analysis revealed further significant differences in tongue area as well as changes in tongue area in response to the different expiratory pressures. [Conclusion] The findings demonstrate that higher expiratory pressure facilitates greater reduction in tongue area.[Purpose] The purpose of this study was to investigate the effect of expiratory resistance load on the tongue area encompassing the suprahyoid and genioglossus muscles. [Subjects] The subjects were 30 healthy individuals (15 males, 15 females, mean age: 28.9 years). [Methods] Magnetic resonance imaging was used to investigate morphological changes in response to resistive expiratory pressure loading in the area encompassing the suprahyoid and genioglossus muscles. Images were taken when water pressure was sustained at 0%, 10%, 30%, and 50% of maximum resistive expiratory pressure. We then measured tongue area using image analysis software, and the morphological changes were analyzed using repeated measures analysis of variance followed by post hoc comparisons. [Results] A significant change in the tongue area was detected in both sexes upon loading. Multiple comparison analysis revealed further significant differences in tongue area as well as changes in tongue area in response to the different expiratory pressures. [Conclusion] The findings demonstrate that higher expiratory pressure facilitates greater reduction in tongue area. Purpose: The purpose of this study was to investigate the effect of expiratory resistance load on the tongue area encompassing the suprahyoid and genioglossus muscles. Subjects: The subjects were 30 healthy individuals (15 males, 15 females, mean age: 28.9 years). Methods: Magnetic resonance imaging was used to investigate morphological changes in response to resistive expiratory pressure loading in the area encompassing the suprahyoid and genioglossus muscles. Images were taken when water pressure was sustained at 0%, 10%, 30%, and 50% of maximum resistive expiratory pressure. We then measured tongue area using image analysis software, and the morphological changes were analyzed using repeated measures analysis of variance followed by post hoc comparisons. Results: A significant change in the tongue area was detected in both sexes upon loading. Multiple comparison analysis revealed further significant differences in tongue area as well as changes in tongue area in response to the different expiratory pressures. Conclusion: The findings demonstrate that higher expiratory pressure facilitates greater reduction in tongue area. |
| Author | Yanagisawa, Yukio Horiuchi, Noriaki Shuntoh, Hisato Matsuo, Yoshimi Mitamura, Masaaki |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24259824$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/S0892-1997(02)00125-X 10.1016/j.rmed.2006.06.024 10.1016/j.archger.2008.03.006 10.1016/S0004-9514(14)60203-8 10.1589/jpts.19.197 10.1007/s00455-006-9061-4 10.1298/jjpta.8.29 10.1053/apmr.2000.5616 10.1016/j.resp.2007.01.008 10.1136/thx.50.4.366 10.1044/1092-4388(2008/07-0016) 10.1682/JRRD.2004.07.0077 10.1097/00005537-200203000-00026 10.1378/chest.08-1389 10.1016/j.apmr.2005.05.005 10.1212/WNL.0b013e3181fef115 |
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| Keywords | Magnetic resonance imaging Expiratory resistance load Tongue area |
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| References | 2) Kim J, Sapienza CM: Implications of expiratory muscle strength training for rehabilitation of the elderly: tutorial. J Rehabil Res Dev, 2005, 42: 211–224. 17) Mestriner RG, Fernandes RO, Steffen LC, et al.: Optimum design parameters for a therapist-constructed positive-expiratory-pressure therapy bottle device. Respir Care, 2009, 54: 504–508. 5) Mota S, Güell R, Barreiro E, et al.: Clinical outcomes of expiratory muscle training in severe COPD patients. Respr Med, 2007, 101: 516–524. 10) Trohe MS, Okun MS, Rosenbek JC, et al.: Aspiration and swallowing in Parkinson disease and rehabilitation with EMST: a randomized trial. Neurology, 2010, 75: 1912–1919. 15) Black LF, Hyatt RE: Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis, 1969, 99: 696–702. 8) Gosselink R, Kovacs L, Ketelaer P, et al.: Respiratory muscle weakness and respiratory muscle training in severely disabled multiple sclerosis patients. Arch Phys Med Rehabil, 2000, 81: 747–751. 4) Sasaki M: The effect of expiratory muscle training on pulmonary function in normal subjects. J Phys Ther Sci, 2007, 19: 197–203. 1) Suzuki S, Sato M, Okubo T: Expiratory muscle training and sensation of respiratory effort during exercise in normal subjects. Thorax, 1995, 50: 366–370. 16) Badr C, Elkins MR, Ellis ER: The effect of body position on maximal expiratory pressure and flow. Aust J Physiother, 2002, 48: 95–102. 6) Sapienza CM, Davenport PW, Martin AD: Expiratory muscle training increases pressure support in high school band students. J Voice, 2002, 16: 495–501. 12) Wheeler-Hegland KM, Rosenbek JC, Sapienza CM: Submental SEMG and hyoid movement during mendelsohn maneuver, effortful swallow, and expiratory muscle strength training. J Speech Lang Hear Res, 2008, 51: 1072–1087. 7) Kim J, Davenport P, Sapienza C: Effect of expiratory muscle strength training on elderly cough function. Arch Gerontol Geriatr, 2009, 48: 361–366. 14) Huckabee ML, Butler SG, Barclay M, et al.: Submental surface electromyographic measurement and pharyngeal pressures during normal and effortful swallowing. Arch Phys Med Rehabil, 2005, 86: 2144–2149. 3) Sasaki M, Kurosawa H, Kohzuki M: Effects of inspiratory and expiratory muscle training in normal subjects. J Jpn Phys Ther Assoc, 2005, 8: 29–37. 18) How SC, McConnell AK, Taylor BJ, et al.: Acute and chronic responses of the upper airway to inspiratory loading in healthy awake humans: an MRI study. Respir Physiol Neurobiol, 2007, 157: 270–280. 9) Pitts T, Bolser D, Rosenbek J, et al.: Impact of expiratory muscle strength training on voluntary cough and swallow function in parkinson disease. Chest, 2009, 135: 1301–1308. 13) Fukuoka T, Sugita Y, Kawasaka N, et al.: Surface electromyographic analysis of expiratory muscle strength training used to strengthen suprahyoid muscles. Jpn J Dysphagia Rehabil, 2011, 15: 174–182. 11) Wheeler KM, Chiara T, Sapienza CM: Surface electromyographic activity of the submental muscles during swallow and expiratory pressure threshold training tasks. Dysphagia, 2007, 22: 108–116. 19) Stuck BA, Köpke J, Maurer JT, et al.: Evaluating the upper airway with standardized magnetic resonance imaging. Laryngoscope, 2002, 112: 552–558. 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 10 17341450 - Respir Physiol Neurobiol. 2007 Aug 1;157(2-3):270-80 12047207 - Aust J Physiother. 2002;48(2):95-102 25792941 - J Jpn Phys Ther Assoc. 2005;8(1):29-37 18728114 - J Speech Lang Hear Res. 2008 Oct;51(5):1072-87 12512637 - J Voice. 2002 Dec;16(4):495-501 17294298 - Dysphagia. 2007 Apr;22(2):108-16 16271562 - Arch Phys Med Rehabil. 2005 Nov;86(11):2144-9 18457885 - Arch Gerontol Geriatr. 2009 May-Jun;48(3):361-6 7785008 - Thorax. 1995 Apr;50(4):366-70 19029430 - Chest. 2009 May;135(5):1301-8 19327187 - Respir Care. 2009 Apr;54(4):504-8 12148870 - Laryngoscope. 2002 Mar;112(3):552-8 5772056 - Am Rev Respir Dis. 1969 May;99(5):696-702 15944886 - J Rehabil Res Dev. 2005 Mar-Apr;42(2):211-24 10857518 - Arch Phys Med Rehabil. 2000 Jun;81(6):747-51 16942867 - Respir Med. 2007 Mar;101(3):516-24 21098406 - Neurology. 2010 Nov 23;75(21):1912-9 |
| References_xml | – reference: 9) Pitts T, Bolser D, Rosenbek J, et al.: Impact of expiratory muscle strength training on voluntary cough and swallow function in parkinson disease. Chest, 2009, 135: 1301–1308. – reference: 6) Sapienza CM, Davenport PW, Martin AD: Expiratory muscle training increases pressure support in high school band students. J Voice, 2002, 16: 495–501. – reference: 3) Sasaki M, Kurosawa H, Kohzuki M: Effects of inspiratory and expiratory muscle training in normal subjects. J Jpn Phys Ther Assoc, 2005, 8: 29–37. – reference: 16) Badr C, Elkins MR, Ellis ER: The effect of body position on maximal expiratory pressure and flow. Aust J Physiother, 2002, 48: 95–102. – reference: 4) Sasaki M: The effect of expiratory muscle training on pulmonary function in normal subjects. J Phys Ther Sci, 2007, 19: 197–203. – reference: 11) Wheeler KM, Chiara T, Sapienza CM: Surface electromyographic activity of the submental muscles during swallow and expiratory pressure threshold training tasks. Dysphagia, 2007, 22: 108–116. – reference: 8) Gosselink R, Kovacs L, Ketelaer P, et al.: Respiratory muscle weakness and respiratory muscle training in severely disabled multiple sclerosis patients. Arch Phys Med Rehabil, 2000, 81: 747–751. – reference: 5) Mota S, Güell R, Barreiro E, et al.: Clinical outcomes of expiratory muscle training in severe COPD patients. Respr Med, 2007, 101: 516–524. – reference: 2) Kim J, Sapienza CM: Implications of expiratory muscle strength training for rehabilitation of the elderly: tutorial. J Rehabil Res Dev, 2005, 42: 211–224. – reference: 7) Kim J, Davenport P, Sapienza C: Effect of expiratory muscle strength training on elderly cough function. Arch Gerontol Geriatr, 2009, 48: 361–366. – reference: 19) Stuck BA, Köpke J, Maurer JT, et al.: Evaluating the upper airway with standardized magnetic resonance imaging. Laryngoscope, 2002, 112: 552–558. – reference: 17) Mestriner RG, Fernandes RO, Steffen LC, et al.: Optimum design parameters for a therapist-constructed positive-expiratory-pressure therapy bottle device. Respir Care, 2009, 54: 504–508. – reference: 15) Black LF, Hyatt RE: Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis, 1969, 99: 696–702. – reference: 12) Wheeler-Hegland KM, Rosenbek JC, Sapienza CM: Submental SEMG and hyoid movement during mendelsohn maneuver, effortful swallow, and expiratory muscle strength training. J Speech Lang Hear Res, 2008, 51: 1072–1087. – reference: 13) Fukuoka T, Sugita Y, Kawasaka N, et al.: Surface electromyographic analysis of expiratory muscle strength training used to strengthen suprahyoid muscles. Jpn J Dysphagia Rehabil, 2011, 15: 174–182. – reference: 1) Suzuki S, Sato M, Okubo T: Expiratory muscle training and sensation of respiratory effort during exercise in normal subjects. Thorax, 1995, 50: 366–370. – reference: 10) Trohe MS, Okun MS, Rosenbek JC, et al.: Aspiration and swallowing in Parkinson disease and rehabilitation with EMST: a randomized trial. Neurology, 2010, 75: 1912–1919. – reference: 14) Huckabee ML, Butler SG, Barclay M, et al.: Submental surface electromyographic measurement and pharyngeal pressures during normal and effortful swallowing. Arch Phys Med Rehabil, 2005, 86: 2144–2149. – reference: 18) How SC, McConnell AK, Taylor BJ, et al.: Acute and chronic responses of the upper airway to inspiratory loading in healthy awake humans: an MRI study. Respir Physiol Neurobiol, 2007, 157: 270–280. – ident: 17 – ident: 6 doi: 10.1016/S0892-1997(02)00125-X – ident: 5 doi: 10.1016/j.rmed.2006.06.024 – ident: 7 doi: 10.1016/j.archger.2008.03.006 – ident: 16 doi: 10.1016/S0004-9514(14)60203-8 – ident: 4 doi: 10.1589/jpts.19.197 – ident: 11 doi: 10.1007/s00455-006-9061-4 – ident: 13 – ident: 15 – ident: 3 doi: 10.1298/jjpta.8.29 – ident: 8 doi: 10.1053/apmr.2000.5616 – ident: 18 doi: 10.1016/j.resp.2007.01.008 – ident: 1 doi: 10.1136/thx.50.4.366 – ident: 12 doi: 10.1044/1092-4388(2008/07-0016) – ident: 2 doi: 10.1682/JRRD.2004.07.0077 – ident: 19 doi: 10.1097/00005537-200203000-00026 – ident: 9 doi: 10.1378/chest.08-1389 – ident: 14 doi: 10.1016/j.apmr.2005.05.005 – ident: 10 doi: 10.1212/WNL.0b013e3181fef115 – reference: 17341450 - Respir Physiol Neurobiol. 2007 Aug 1;157(2-3):270-80 – reference: 21098406 - Neurology. 2010 Nov 23;75(21):1912-9 – reference: 18457885 - Arch Gerontol Geriatr. 2009 May-Jun;48(3):361-6 – reference: 19029430 - Chest. 2009 May;135(5):1301-8 – reference: 12047207 - Aust J Physiother. 2002;48(2):95-102 – reference: 10857518 - Arch Phys Med Rehabil. 2000 Jun;81(6):747-51 – reference: 5772056 - Am Rev Respir Dis. 1969 May;99(5):696-702 – reference: 18728114 - J Speech Lang Hear Res. 2008 Oct;51(5):1072-87 – reference: 19327187 - Respir Care. 2009 Apr;54(4):504-8 – reference: 16942867 - Respir Med. 2007 Mar;101(3):516-24 – reference: 7785008 - Thorax. 1995 Apr;50(4):366-70 – reference: 17294298 - Dysphagia. 2007 Apr;22(2):108-16 – reference: 16271562 - Arch Phys Med Rehabil. 2005 Nov;86(11):2144-9 – reference: 25792941 - J Jpn Phys Ther Assoc. 2005;8(1):29-37 – reference: 12148870 - Laryngoscope. 2002 Mar;112(3):552-8 – reference: 12512637 - J Voice. 2002 Dec;16(4):495-501 – reference: 15944886 - J Rehabil Res Dev. 2005 Mar-Apr;42(2):211-24 |
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| Title | Change in Tongue Morphology in Response to Expiratory Resistance Loading Investigated by Magnetic Resonance Imaging |
| URI | https://www.jstage.jst.go.jp/article/jpts/25/6/25_jpts-2012-420/_article/-char/en http://mol.medicalonline.jp/en/journal/download?GoodsID=ca8jjpts/2013/002506/003&name=0667-0669e https://www.ncbi.nlm.nih.gov/pubmed/24259824 https://www.proquest.com/docview/1469211013 https://www.proquest.com/docview/1492813016 https://www.proquest.com/docview/1534810809 https://pubmed.ncbi.nlm.nih.gov/PMC3805000 https://www.jstage.jst.go.jp/article/jpts/25/6/25_jpts-2012-420/_pdf |
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| ispartofPNX | Journal of Physical Therapy Science, 2013/06/25, Vol.25(6), pp.667-669 |
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